书生暮年私自怜。百病交遘无由痊。自知元气不扶老。肝木任纵心火燃。上炎下走不相制。一
身坐受阴阳偏。一月十五疾一作。一作数日情惘然。心抨抨兮如危弦。头蒙蒙兮如风船。去年卧病
几半载。两耳但觉鸣秋蝉。罗君赴召来幽燕。与我似有前生缘。药投凉冷恐伤气。聊以砭石加诸巅
。二十余刺若风过。但见郁气上突霏白烟。胸怀洒落头目爽。压坌一灌清冷渊。东垣老人医中仙。
得君门下为单传。振枯起怯入生脉。倒生回死居十全。方今草野无遗肾。姓名已达玉阶前。病黎报君为一赋。欲使思邈
相周旋。青囊秘法不可惜。要令衰朽终天年。
中书右丞姚公茂。六旬有七。宿有时毒。至元戊辰春。因酒病发。头面赤肿而痛。耳前后肿尤
甚。胸中烦闷。咽嗌不利。身半以下皆寒。足胫尤甚。由是以床相接作炕。身半以上卧于床。身半
以下卧于炕。饮食减少。精神困倦而体弱。命予治之。诊得脉浮数。按之弦细。上热下寒明矣。内
经云。热胜则肿。又曰。春气者病在头。难经云。蓄则肿热。砭射之也。盖取其易散故也。遂于肿
上约五十余刺。其血紫黑如露珠之状。顷时肿痛消散。又于气海中火艾炷灸百壮。乃助下焦阳虚。
退其阴寒。次于三里二穴。各灸三七壮。治足 冷。亦引导热气下行故也。遂处一方。名曰既济解
毒汤。以热者寒之。然病有高下。治有远近。无越其制度。以黄芩、黄连苦寒酒制炒。亦为因用。
以泻其上热。以为君。桔梗、甘草辛甘温上升。佐诸苦药以治其热。柴胡、升麻苦平。味之薄者阳
中之阳。散发上热以为臣。连翘苦辛平。以散结消肿。当归辛温和血止痛。酒煨大黄苦寒。引苦性
上行至巅。驱热而下以为使。投剂之后。肿消痛减。大便利。再服减大黄。慎言语。节饮食。不旬
日良愈。
【既济解毒汤】治上热头目赤肿而痛。胸膈烦闷不得安卧。身半以下皆寒。足 尤甚。大
便微秘。
大黄（酒蒸。大便利勿用） 黄连（酒制炒） 黄芩（酒制炒）
甘草（炙） 桔梗（各二钱） 柴胡 升麻
连翘 当归身（各一钱）
上 咀。作一服。水二盏。煎至一盏。去渣。食后。温服。忌酒湿面大料物及生冷硬物。
书生到了晚年，独自哀怜自己。各种疾病交织发作，无法痊愈。自知元气不足，难以支撑衰老之躯。肝木之气肆意放纵，心火燃烧不息。热气向上炎蒸，寒气向下走窜，两者互不制约。全身承受着阴阳偏盛的痛苦。每过十五天（或数日），病情就发作一次，神情恍惚迷茫。心跳剧烈，如同紧绷的危弦。头脑昏沉，如同在风中摇晃的小船。去年卧病在床，几乎过了半年。两耳只听到像秋天蝉鸣一样的响声。罗君奉召来到幽燕之地。与我似乎有前世的缘分。用药若过于凉冷，恐怕会损伤正气，姑且用砭石刺破头部穴位。二十多针下去，感觉像风吹过一样。只见郁结之气上冲，冒出白色的烟雾。胸怀顿时开阔舒畅，头目清爽。积压的浊气被一泻而空，如注入清冷的深渊。东垣老人是医中的神仙。得到他门下的真传。能使枯萎者复苏，怯弱者强健，起死回生，医术十全十美。如今民间没有遗漏的良医，他的名声已经传达到朝廷高位。病患为您作赋一首。希望让孙思邈这样的名医与您周旋交流。青囊中的秘法不可吝惜。要让这衰朽之身终享天年。
中书右丞姚公茂，六十七岁。素来患有“时毒”这一宿疾。至元戊辰年春季，因饮酒导致旧病复发。头面部红肿疼痛。耳朵前后肿胀尤为严重。胸中烦闷不适，咽喉不利。身体下半部分都感到寒冷，小腿尤其严重。因此用床和炕相接放置，上半身睡在床上，下半身睡在炕上。饮食减少，精神困倦，身体虚弱。命令我治疗。诊得脉象浮数，重按则弦细。上热下寒的症状非常明显。《内经》说：热邪胜则发生肿疡。又说：春气致病多在头部。《难经》说：邪气蓄积则肿痛，需要用砭石放血治疗。大概是取其易于消散的作用。于是在肿胀处大约刺了五十多针。流出的血液紫黑，像露珠的形状。片刻之间，肿痛消散。又在气海穴用艾炷灸了一百壮，以补助下焦阳虚，退去阴寒。接着在足三里两个穴位，各灸二十一壮，以治疗脚冷，也是为了引导热气下行。于是开出一个方子，名叫既济解毒汤。遵循“热者寒之”的原则。然而病情有高下之分，治疗有远近之别，不能超越常规制度。用黄芩、黄连苦寒之性，经酒制炒后使用，也是顺应病机。用以泻除上部的热邪，作为君药。桔梗、甘草辛甘温，主升，佐助诸苦味药以治上部之热。柴胡、升麻苦平，气味轻薄，属于阳中之阳，发散上部热邪，作为臣药。连翘苦辛平，用以散结消肿。当归辛温，调和血脉止痛。酒煨大黄苦寒，引导苦性上行至头顶，驱散热邪下行，作为使药。服药之后，肿痛消退，大便通畅。再服时减去大黄。谨慎言语，节制饮食。不到十天，完全康复。
【既济解毒汤】治疗上部热盛导致的头目红肿疼痛。胸膈烦闷，无法安卧。身体下半部分皆寒，小腿尤其严重。大便轻微便秘。
大黄（酒蒸，若大便通畅则不用） 黄连（酒制炒） 黄芩（酒制炒）
甘草（炙） 桔梗（各二钱） 柴胡 升麻
连翘 当归身（各一钱）
以上药材切碎。作一剂服用。加水两盏，煎煮至一盏。去渣滓。饭后，温服。忌食酒、湿面、大料物及生冷硬物。
The scholar, in his twilight years, pities himself alone. A hundred diseases strike simultaneously, with no way to recover. Knowing his primordial Qi (vital energy) is insufficient to support old age, the Liver Wood (Liver system) runs rampant while the Heart Fire burns freely. Heat flares upward and descends downward, failing to restrain each other. The whole body suffers from the imbalance of Yin and Yang. Every fifteen days (or every few days), the illness strikes, leaving him bewildered and disoriented. His heart pounds like a taut, precarious string. His head feels muddled, as if on a boat tossed by the wind. Last year, he lay ill for nearly half a year. His ears only heard the buzzing of autumn cicadas. Master Luo was summoned to Youyan. He seems to share a predestined affinity with me. Medicines that are too cooling might damage Qi; thus, I tentatively applied Bian stones (stone lancets) to the vertex. After more than twenty punctures, it felt like a breeze passing. Only then did the stagnant Qi surge upward, emitting white vapor. My chest felt open and relaxed, my head and eyes refreshed. The accumulated turbidity was washed away into a clear, cold abyss. Dongyuan Lao Ren (Master Li Dongyuan) is an immortal among physicians. Receiving his exclusive transmission, he revives the withered, strengthens the timid, brings back the dead, and achieves perfect healing. Now, there are no hidden talents in the countryside; his name has reached the Jade Steps (imperial court). The sick patient writes a poem for you, hoping to engage with immortals like Sun Simiao. The secret methods of the Green Bag should not be hoarded, so that this decaying body may enjoy its natural lifespan.
Yao Gongmao, Right Vice Director of the Department of State Affairs, aged sixty-seven, had a chronic history of "Shi Du" (Seasonal Toxins). In the spring of the Wuchen year of the Zhiyuan era, due to alcohol consumption, his old illness relapsed. His head and face were red, swollen, and painful, with swelling around the ears being particularly severe. He experienced chest oppression and difficulty in the throat. The lower half of his body was cold, especially the calves. Consequently, he placed a bed and a kang (heated brick bed) together, sleeping with his upper body on the bed and his lower body on the kang. His food intake decreased, and he suffered from mental fatigue and physical weakness. He ordered me to treat him. The pulse was floating and rapid, but fine and wiry upon deep pressure. This clearly indicated Upper Heat and Lower Cold. The *Neijing* states: "When heat prevails, swelling occurs." It also says: "Diseases caused by Spring Qi often affect the head." The *Nanjing* states: "Accumulation leads to swelling and heat, which requires Bian stone bloodletting." This was chosen for its ability to easily dissipate stagnation. Thus, over fifty punctures were made on the swollen area. The blood flowed out purple-black, resembling dewdrops. In an instant, the swelling and pain subsided. Then, one hundred moxa cones were burned at Qihai (CV6, Sea of Qi) to assist the deficiency of Yang in the Lower Jiao (Lower Burner) and dispel Yin cold. Next, twenty-one moxa cones were burned at each of the Zusanli (ST36, Three Mile) points to treat cold feet, thereby guiding the hot Qi downward. Subsequently, a prescription named Jiji Jiedu Tang (Ji-ji Detoxifying Decoction) was prescribed, following the principle of "treating heat with cold." However, diseases vary in location and treatment in distance; one must not exceed established protocols. Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma), bitter and cold, were stir-fried with wine to adapt to the usage, serving as the Sovereign herbs to purge Upper Heat. Jiegeng (Platycodonis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma), acrid, sweet, and warm, ascend, assisting the bitter herbs to treat upper heat, serving as Minister herbs. Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), bitter and neutral, have thin flavors and belong to Yang within Yang, dispersing upper heat, serving as Assistant herbs. Lianqiao (Forsythiae Fructus), acrid, bitter, and neutral, dissipates nodules and reduces swelling. Danggui (Angelicae Sinensis Radix), acrid and warm, harmonizes blood and stops pain. Jiuhuang Dahuang (Rhei Radix et Rhizoma stir-fried with wine), bitter and cold, guides the bitter nature upward to the vertex and drives heat downward, serving as Envoy herb. After administration, the swelling subsided, pain decreased, and bowel movements became smooth. Upon the second dose, Dahuang was reduced. Speech was moderated, and diet was regulated. Within ten days, full recovery was achieved.
[Jiji Jiedu Tang] Treats Upper Heat causing redness, swelling, and pain in the head and eyes. Chest and diaphragm oppression preventing restful sleep. Coldness throughout the lower half of the body, especially in the calves. Slight constipation.
Dahuang (steamed with wine; omit if stool is already loose) Huanglian (stir-fried with wine) Huangqin (stir-fried with wine)
Gancao (roasted) Jiegeng (each 2 qian) Chaihu Shengma
Lianqiao Danggui Shen (each 1 qian)
Coarsely crush the above ingredients. Prepare as one dose. Add two cups of water, decoct until one cup remains. Strain. Take warm after meals. Avoid alcohol, damp wheat products, strong spices, and raw, cold, or hard foods.